Product image of Mifegyne (Mifepristone) supplied by GNH India

Mifegyne

Active Ingredient:
Mifepristone
Origin:
EU

Mifegyne (Mifepristone)

Mifepristone, the active ingredient in Mifegyne, is a progesterone receptor antagonist presented as an oral formulation for oral use. It is employed for the medical termination of intrauterine pregnancy up to ten weeks and for the management of early pregnancy loss.

GNH India supplies Mifegyne as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support import and clinical use.

Manufacturer / TM Owner

Exelgyn Sa

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Indications & Clinical Uses

Mifegyne, a progesterone receptor antagonist, is used in early pregnancy management and medical abortion protocols.

  • Medical termination of intrauterine pregnancy up to 10 weeks: induces abortion in early pregnancy.
  • Management of early pregnancy loss: promotes expulsion of retained products of conception.
  • Adjunct to misoprostol in medical abortion protocols: enhances efficacy of prostaglandin‑mediated uterine evacuation.

How It Works

  • Mifepristone binds competitively to progesterone receptors in the endometrium, blocking the hormone's action. This antagonism leads to decidual breakdown, detachment of the embryo, and sensitization of the uterus to prostaglandins, thereby facilitating uterine contractions and expulsion of pregnancy tissue when followed by misoprostol.

Side Effects

Mifegyne may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Nausea
  • Vomiting
  • Abdominal cramping
  • Vaginal bleeding

Serious or Rare Side Effects

  • Heavy hemorrhage requiring medical intervention
  • Severe infection (sepsis)
  • Allergic reaction or anaphylaxis

Precautions & Warnings

When prescribing Mifegyne, clinicians should observe several safety measures to minimize risk.

  • Confirm gestational age: ensure pregnancy is ≤10 weeks.
  • Obtain baseline labs: hemoglobin, blood type, and Rh status.
  • Screen for contraindications: chronic adrenal insufficiency, long‑term corticosteroid therapy, or anticoagulant use.
  • Provide counseling on follow‑up: schedule ultrasound verification of complete evacuation.
  • Avoid use in ectopic pregnancy: contraindicated if ectopic gestation is suspected.
  • Store at ambient temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Mifegyne can interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Concurrent use of CYP3A4 inducers (e.g., rifampin, carbamazepine) may reduce efficacy.
  • Co‑administration with anticoagulants may increase bleeding risk.

Moderate Interactions (Monitor Closely)

  • Use with NSAIDs may increase gastrointestinal discomfort.
  • Combination with hormonal contraceptives does not affect efficacy but counseling is recommended.
  • Timing with misoprostol is essential for optimal regimen success.

Frequently Asked Questions

Mifegyne is used for the medical termination of intrauterine pregnancy up to ten weeks gestation and for the management of early pregnancy loss. It works as part of a regimen that typically includes a prostaglandin analogue to complete uterine evacuation.

Mifepristone blocks progesterone receptors in the uterine lining, causing decidual breakdown and detachment of the embryo. This antagonism also sensitises the uterus to prostaglandins, so when a prostaglandin such as misoprostol is given, strong uterine contractions expel the pregnancy tissue.

The exact dose of Mifegyne is determined by the prescribing clinician based on local guidelines and patient factors. Typically, a single oral dose is administered followed by a misoprostol regimen, but the prescriber sets the specific amount and timing.

Mifegyne is intended for use in early pregnancy termination and is not used to treat ongoing pregnancy beyond the approved indication. It is contraindicated in ongoing pregnancy beyond ten weeks and should be avoided during breastfeeding unless the prescriber determines that the benefit outweighs potential risk.

To order Mifegyne, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import paperwork.

The main alternative to Mifegyne in medical abortion is misoprostol alone, which is less effective without a progesterone antagonist. Combining Mifegyne with misoprostol yields higher success rates and fewer repeat procedures compared with misoprostol monotherapy, making the combination the preferred regimen for early medical abortion.

Mifegyne should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and avoid storing it in areas with high humidity or direct sunlight.

Mifegyne is taken orally as a tablet. The patient swallows the tablet whole with water, usually in a clinical setting, followed by a prescribed misoprostol regimen after a specified interval to complete the abortion process.

The most serious risks associated with Mifegyne include heavy hemorrhage that may require transfusion, severe infection (sepsis), and allergic reactions that can progress to anaphylaxis. Patients should be instructed to seek immediate medical attention if they experience excessive bleeding, fever, or signs of an allergic reaction.

Mifegyne should not be used in individuals with known hypersensitivity to mifepristone, chronic adrenal insufficiency, long‑term corticosteroid therapy, anticoagulant therapy, ectopic pregnancy, intrauterine device in place, or when the gestational age exceeds ten weeks. Contraindications must be confirmed before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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